Lumbar Range of Motion: Reliability and Validity of the Inclinometer Technique in the Clinical Measurement of Trunk Flexibility

Saur, Petra; Ensink, Franz-bernhard M.; Frese, Knut; Seeger, D.; Hildebrandt, J.

doi:10.1097/00007632-199606010-00011

Cited by 180 publications

(141 citation statements)

References 20 publications

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“…For the examination of spinal mobility and back surface reconstruction by means of inclinometers, there exist satisfying reliability studies [11][12][13][14]. But for raster stereography, there is still a lack of reliability studies that are covering all parameters offered for a three-dimensional spinal form analysis.…”

Section: Introductionmentioning

confidence: 99%

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

2014

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Purpose As reliability of raster stereography was proved only for sagittal plane parameters with repeated measures on the same day, the present study was aiming at investigating variability and reliability of back shape reconstruction for all dimensions (sagittal, frontal, transversal) and for different intervals. Methods For a sample of 20 healthy volunteers, intraindividual variability (SEM and CV %) and reliability (ICC ± 95 % CI) were proved for sagittal (thoracic kyphosis, lumbar lordosis, pelvis tilt angle, and trunk inclination), frontal (pelvis torsion, pelvis and trunk imbalance, vertebral side deviation, and scoliosis angle), transversal (vertebral rotation), and functional (hyperextension) spine shape reconstruction parameters for different test-retest intervals (on the same day, between-day, between-week) by means of video raster stereography. Results Reliability was high for the sagittal plane (pelvis tilt, kyphosis and lordosis angle, and trunk inclination: ICC [ 0.90), and good to high for lumbar mobility (0.86 \ ICC \ 0.97). Apart from sagittal plane spinal alignment, there was a lack of certainty for a high reproducibility indicated by wider ICC confidence intervals. So, reliability was fair to high for vertebral side deviation and the scoliosis angle (0.71 \ ICC \ 0.95), and poor to good for vertebral rotation values as well as for frontal plane upper body and pelvis position parameters (0.65 \ ICC \ 0.92). Coefficients for the between-day and between-week interval were a little lower than for repeated measures on the same day. Variability (SEM) was less than 1.5°or 1.5 mm, except for trunk inclination. Relative variability (CV) was greater in global trunk position and pelvis parameters (35-98 %) than in scoliosis (14-20 %) or sagittal sway parameters (4-8 %). Conclusions Although we found a lower reproducibility for the frontal plane, raster stereography is considered to be a reliable method for the non-invasive, three-dimensional assessment of spinal alignment in normal non-scoliotic individuals in the sagittal plane and partly for scoliosis parameters, which fulfils scientific as well as practical recommendations for spine shape screening and monitoring, but cross-sectional or follow-up effect analyses should take into account the degree of reliability differing in various spine shape parameters. Further investigations should be conducted to analyse reliability in scoliosis patients with differing spinal deformities.

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Section: Introductionmentioning

confidence: 99%

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

2014

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“…Measurement of hip and lumbar motion has been found to have good to poor intraexaminer reliability. 35,38,45,72 Strength Testing Manual muscle testing to assess hip muscle strength was performed and graded using a 5-point scale. 34 Although all athletes exhibited at least a 4/5 hip strength rating in all muscle groups, there were subtle differences between the athletes' right and left sides.…”

mentioning

confidence: 99%

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

Kachingwe¹,

Grech²

2008

J Orthop Sports Phys Ther

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“…Numerous authors have shown high reliability and usefulness of this method for clinical examinations, e.g. Czaprowski [16], Saur et al [25], Kużdżał et al [5] and Walicka-Cupryś et al [23]. The other device used in the present study for assessing body posture is a system whose operation is based on photogrammetric method taking advantage of Moiré phenomenon.…”

Section: Discussionmentioning

confidence: 91%

“…The results reported by various researchers are difficult to compare due to the fact that different methods and measuring tools are applied; therefore, it is necessary to continue studies designed to compare results obtained with specific methods. Among the specialist publications we can encounter articles discussing concurrent validity of various techniques designed for assessing body posture [12,[23][24][25]], yet no research has previously been reported to compare the methods based on photogrammetry and gravitational inclinometer, which has been done in the present study. The two methods were used in assessing the same subjects, which made it possible to verify the assumption regarding the concurrent validity of these measurements.…”

Section: Discussionmentioning

confidence: 99%

Concurrent validity of photogrammetric and inclinometric techniques based on assessment of anteroposterior spinal curvatures

et al. 2017

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Purpose The purpose of the study was to investigate correlations between parameters of anteroposterior spinal curvatures in the sagittal plane, measured with the use of photogrammetric technique and inclinometer in healthy elderly women. Methods Randomized study involved 50 females, ranging from 50 to 70 years of age (mean 62.26 ± 6.94); mean body mass index (BMI) 27.69 ± 4.79. The examined parameters included angle of inclination in lumbosacral spine (ALFA), thoracolumbar transition (BETA), upper thoracic segment (GAMMA), angle of lumbar lordosis (LLA) and thoracic kyphosis (TKA). Results obtained with gravitational inclinometer were compared with those identified with photogrammetry method. Statistical analyses were performed with Mann-Whitney U test, regression analysis and Bland-Altman analysis. Results In Mann-Whitney U test, with correction due to continuity, no statistically significant differences for any variable were found. Regression analysis was significant only for the variable of BETA angle. Bland-Altman coefficient for the respective angles was: ALFA 2.0%, BETA 4%, GAMMA 0%, LLA 2% and TKA 0%. Conclusions The results acquired with gravitational inclinometer and with photogrammetric technique are comparable, as the parameters of anteroposterior spinal curvatures acquired with these two methods are found to be compatible in the case of measurements of lumbar lordosis and thoracic kyphosis.

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Lumbar Range of Motion: Reliability and Validity of the Inclinometer Technique in the Clinical Measurement of Trunk Flexibility

Abstract: The noninvasive inclinometer technique proved to be highly reliable and valid, but the measurement technique for extension needs further refinement.

Cited by 180 publications

References 20 publications

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

Proposed Algorithm for the Management of Athletes With Athletic Pubalgia (Sports Hernia): A Case Series

Concurrent validity of photogrammetric and inclinometric techniques based on assessment of anteroposterior spinal curvatures

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